COMMUNITY SUPPORT SERVICES
NPI 1497587240
Community/Behavioral Health in Santa Rosa, CA

Q: What is Buckelew Programs's NPI number?

The NPI number for Buckelew Programs is 1497587240. It was assigned to this organization in the NPPES registry on August 19, 2024. The provider is also known as Community Support Services.

Q: What is Buckelew Programs's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Buckelew Programs was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 19, 2024

2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407(707) 780-7239 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Community Support Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY SUPPORT SERVICES (NPI 1497587240) is a healthcare organization registered as a community/behavioral health in Santa Rosa, California and active in the NPI registry since August 2024. The organization maintains a secondary practice location in Novato and lists John Christopher Kughn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1497587240

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameBUCKELEW PROGRAMS

Location Address2235 MERCURY WAY STE 107Santa Rosa, CA 95407-5472

Mailing Address2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472 · (707) 780-7239

Phone(707) 780-7239

Organization SubpartNo

Authorized OfficialJohn Christopher KughnCeo · (415) 457-6966

Enumeration DateAugust 19, 2024

NPPES CertifiedAugust 19, 2024

✔ NPI 1497587240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2235 MERCURY WAY STE 107, Santa Rosa, CA 95407

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Other Names 1

Other NameCommunity Support Services

Secondary Practice Location 1

Location 1201 Alameda Del PradoNovato, CA 94949-6688 · Phone (415) 457-6964

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGEL STEVEN ESCOBAR

Day Training/Habilitation Specialist